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,... ELECTRICAL PERMIT APPLICATION <br /> �- CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@aeverettwa.gov I www,everetlwva.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 729 100th Street SE, Everett, WA 98208 <br /> BUILDING AREA(if residential,new construction,remodel,or addition)2500 SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX ©MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Labor and Industries <br /> LE RICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: 1500 <br /> NUMBER OF DEVICES(if low v Itage): <br /> FIRE ALARM? 0 YES 51)1 <br /> ASSOCIATED BUILDING PERMIT#(if applicable): N/A <br /> DESCRIPTION OF WORK: PROVIDE AND INSTALL 2 NETWORK CABLES TO EVR316 <br /> CONTACT INFORMATION <br /> ,OWNER NAME:Labor and Industries TENANT NAME(If Commercial) <br /> OWNER MAILING ADDRESS: STREET 729 100th St SSE_ <br /> c rY Everett sti Te WA ZIP 98208 <br /> OWNER PHONE: 360-902-6323 OWNER EMAIL: <br /> CONTRACTOR NAME: CTS <br /> CONTRACTOR ADDRESS: STREET 2720 S Ash Street <br /> GAN Tacoma sTAT5 WA Zip 96409 <br /> CONTRACTOR PHONE:206-686-2000 ext 231 CONTRACTOR EMAIL:johnh a@cablects.com <br /> CONTRACTOR LIC.#(REQUIRED): CTS**TS881 B K CITY OF EVERETT.BUSINESS LIC.#(REQUIR :048173 <br /> PRIMARY CONTACT: D OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-686-2000 ext 1`07 <br /> Heather Nunez CONTACT EMAIL:heathern@cablects.com <br /> AGREEMENT::I hereby certify that I have read and examined this application and know the same to be true and correct. Alf provisions of laws and ordinances governing this,type <br /> of work will be completed:whether specified herein or not. The granting of a permit does;not presume to give authority to violate Or cancel the•:provisions of any other state or <br /> local law regulating construction or the performance of construction.- That!am authorized by the owner of this property to perform the work foe which application is made and!` <br /> comply with the State Contractors Law 18.27 ROW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> A,--\,-----------v-,, =2R E \A-os -\q 3 <br /> Owner/Authorized Agent Sig, iere Date (Revised 9/23/2016 <br />